| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
322 |
223 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
47 |
$818.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
38 |
$566.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
35 |
$505.92 |
| 92551 |
|
107 |
60 |
$498.37 |
| 99173 |
|
104 |
59 |
$130.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
39 |
25 |
$27.39 |